Direct Primary Care
High quality, direct-fee-based primary care is the foundation of a high performing health plan. Primary care providers direct 80 cents of every healthcare dollar spent. This makes them arguably the most powerful impact levers for any health plan to pull.
The direct primary care model impacts health plan performance by:
Keeping more care upstream (in primary care) instead of downstream in specialist care;
Navigating care to higher value, lower cost options; and
Managing chronic conditions through sustained care.
This case study shows members engaged in direct primary care, over a sustained period of time, and consistently producing better health spend performance. In addition to performance, these members consistently report the highest levels of satisfaction with the care they are receiving.
